197493337-5-10-2022-30-CC-SGAN-CEAQGH-20220510120935

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 197493337
Report Date: 05/10/2022
Date Signed: 05/10/2022 12:11:02 PM

Document Has Been Signed on 05/10/2022 12:11 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME:	VEDENSKY FAMILY CHILD CARE		FACILITY NUMBER:	197493337
ADMINISTRATOR:	VEDENSKY, MARINA		FACILITY TYPE:	810
ADDRESS:			TELEPHONE:	(818) 626-8424
CITY:	NORTHRIDGE	STATE: CA	ZIP CODE:	91324
CAPACITY:	14	CENSUS: 10	DATE:	05/10/2022
TYPE OF VISIT:	Required - 1 Year	UNANNOUNCED	TIME BEGAN:	09:25 AM
MET WITH:	Marina Vedensky/Licensee		TIME COMPLETED:	12:15 PM

NARRATIVE
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25	On 05/10/22 Licensing Program Analyst (LPA) Silva Garibyan conducted an unannounced Required – 1 Year Inspection and was met by Licensee, Marina Vedensky (Sari). Also present was Staff #1 (S1). Licensee is Russian Speaking. Days and hours of operation are M-F 7:30 a.m. to 6:00 p.m.. LPA toured the home inside and outside and a census was taken. There were 11 preschool children present at the time of the visit. Current facility sketch was reviewed. Licensee’s home is a two story 4 bedroom, 3 bathroom home with living room, dining area, kitchen, family room, Laundry room, and attached garage. The first floor consists of the living room, dining room, family room, storage room, laundry room, kitchen, and one bathroom. The second floor is off-limits and consists of four bedrooms and 2 bathrooms. There is a safety gates at the bottom and top of the stairs to prevent access to the second floor. The attached garage and the laundry room is off limits to the children in care. There is no swimming pool or other bodies of water on the premises. Per the licensee there are two firearm/ammunition in the home. One big and one small semi-automatic rifles . The firearms are in a separate locked cases and the ammunition are currently separate in a separate locked case. The firearms are located in the off-llimit area (licensee's bedroom on the second floor). All poisons are kept in a locked storage area. No poisons were observed during the inspection. Detergents, cleaning compounds, medication and other hazardous items are made inaccessible.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VEDENSKY FAMILY CHILD CARE	FACILITY NUMBER: 197493337
	VISIT DATE: 05/10/2022

NARRATIVE

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The fireplace located in the family room is made inaccessible by a screen and will not be in use during day-care hours. There is a working fire extinguisher, smoke detector, carbon monoxide detector and adequate heating and ventilation for safety and comfort. Stairs are fenced or barricaded when children under age 5 years old are present. Safe toys and play equipment are observed. The home has working telephone service and LPA confirmed the phone number is (818) 626-8424. LPA observed the fire drill log. The fire drills are done every month.

There are currently no infants in care. LPA discussed Safe Sleep Regulations with licensee.

Licensee ensures that children in care are supervised at all times and is aware children shall not be left in parked vehicles. Car seats are used for transportation purposes only and are not used for sleeping children. The outdoor play area in the backyard is fenced and there are no hazards to children present. Capacity as specified on the license is being maintained.

LPA reviewed a sample of children’s files and observed files were complete with emergency information as required. Licensee and assistant are Russian speaking and have not completed the Mandated Reporter Training. Licensee’s pediatric CPR/First Aid expires on 03/11/2024. A review of records indicates that all employees and/or volunteers have immunization records on file for influenza, pertussis and measles.

Incidental Medical Services (IMS) are / are not currently being provided. Licensee is aware that an IMS plan is required to be submitted to the licensing office if they provide any of these services. Information regarding Americans with Disability Act (ADA) can be obtained by contacting US Department of Justice toll free ADA Information line at (800) 514-0301(voice), (800) 514-0383 (TDD) and website link https://www.ada.gov/childqanda.htm.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022

LIC809 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 300 CONTINENTAL BLVD. STE 290A
EL SEGUNDO, CA 90245

FACILITY NAME: VEDENSKY FAMILY CHILD CARE	FACILITY NUMBER: 197493337
	VISIT DATE: 05/10/2022

NARRATIVE

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All adults who reside or work in the home have a criminal record clearance or exemption. There are no excluded individuals present at this home.

LPA and Licensee discussed the Community Care Licensing website www.ccld.ca.gov which will provide access to Provider Information Notices (PINs), Quarterly Updates, COVID-19 Information and Resources, Mandated Reporter Training, Safe Sleep in Child Care, Lead Poisoning Facts, Forms and Regulations.

Per Title 22, Division 12, Chapter 3, of the California Code of Regulations, no deficiencies are cited.

This report shall be made available to the public upon request. LIC 9213 Notice of Site Visit is provided and required to be posted for 30 days.

SUPERVISOR'S NAME: Karren Starks	TELEPHONE: (424) 301-3069
LICENSING EVALUATOR NAME: Silva Garibyan	TELEPHONE: (424) 301-3062
LICENSING EVALUATOR SIGNATURE:	DATE: 05/10/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/10/2022

LIC809 (FAS) - (06/04)

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